Setting

Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 1 RESIDENTIAL SPECIAL SCHOOL

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Lead Inspector Julia Bradshaw Key Announced Inspection 17 th October – 7 th November 2006 10:00 Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 2 The Commission for Social Care Inspection aims to:

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• Put the people who use social care first • Improve services and stamp out bad practice • Be an expert voice on social care • Practise what we preach in our own organisation

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Reader Information Document Purpose Inspection Report Author CSCI Audience General Public Further copies from 0870 240 7535 (telephone order line) Copyright This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Internet address www.csci.org.uk Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 3 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Residential Special Schools. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop

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Every Child Matters, outlined the government’s vision for children’s services and formed the basis of the Children Act 2004. It provides a framework for inspection so that children’s services should be judged on their contribution to the outcomes considered essential to wellbeing in childhood and later life. Those outcomes are: • Being healthy • Staying safe • Enjoying and achieving • Making a contribution; and • Achieving economic wellbeing.

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In response, the Commission for Social Care Inspection has re-ordered the national minimum standards for children’s services under the five outcomes, for reporting purposes. A further section has been created under ‘Management’ to cover those issues that will potentially impact on all the outcomes above.

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Copies of Every Child Matters and The Children Act 2004 are available from The Stationery Office as above. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 4

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Name of school

Address Heathlands Drive St Albans Hertfordshire AL3 5AY

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Name of school

Email address admin.heathlands@thegrid.org.uk

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inspection

27 th February 2006. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 5

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Brief Description of the School:

Heathlands School and its residential wing, Heath House, were purpose built in 1975, originally designed to accommodate primary age hearing-impaired children in need of Total Communication. The school, located half a mile from the centre of St. Albans, has been extensively modernised and has excellent resources including a thriving nursery and specialist rooms for audiology, speech and language therapy and sign language training.

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Brief Description of the School:

Heath House is a two-storey building that offers single or shared study bedrooms spread over four wings. Bedroom groupings are segregated by age and gender. The facility is also well served with communal areas and there is access to the main school library after school hours. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 6

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SUMMARY

This is an overview of what the inspector found during the inspection.

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SUMMARY

This was another very positive inspection and the fifth conducted under section 87C (1) of the Children Act 1989 as amended by the Care Standards Act 2000,took place during a weekday during the morning, afternoon and evening. In recognition of the high calibre of boarding welfare found at all the previous inspections, a “lighter” touch style of inspection was carried out, specifically focusing on time spent with the pupils within their residential accommodation. Time was also spent with the head teacher updating and verifying information provided on the Head Teachers assessment form, received prior to the inspection taking place. There were also discussions held with both the Deputy Head teacher and Head of Care. All the children spoken to like boarding, made positive comments about the staff, the activities and the food. The inspector spoke with nine children and two members of staff, as well as the head of care

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SUMMARY

and the head teacher. Nine children completed questionnaires, and two showed the inspector around Heath House. Lunchtime was taken with a group of pupils and the inspector observed both the evening’s activities and routines. An evening meal was enjoyed with the boarders and staff. A sample of care plans, staff records and health and safety records were inspected. No questionnaires were received from parents on this occasion.

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SUMMARY

There are two areas of concern that were raised by the Head teacher during the inspection and are worthy of highlighting in this report.

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SUMMARY

1.There are serious concerns regarding the current debate regarding the European working time directive. The Head teacher takes great pride in ensuring that the staff employed at Heathlands are treated with the upmost dignity and respect and ensures that their well being is maintained. The current shift pattern, which is worked by the whole staff team within Heath House, does not meet with the new directive regarding the 11 hour break rule. However these shift patterns are produced to ensure the most effective and efficient service is provided to the pupils and all staff have voluntarily opted out of some aspects of this directive. However if the decision is made to remove the right to opt out of this directive, there could be serious consequences affecting the service delivery.

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SUMMARY

2. The experience of the Ofsted Inspection process in the past, is every six years. The Head teacher is seeking some clarification regarding the frequency of the future inspections as they have found the CSCI inspection process over the past 4 years to be “ very valuable in giving clear criteria to which residential schools should aspire”. They have found they CSCI approach as a “critical friend and supportive and helpful in developing their practice”. The Head Teacher has been advised to look on the CSCI Website for further clarification regarding this issue. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 7

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What the school does well:

The admissions procedure and care planning process are excellent. New boarders are given a copy of the Children’s Guide to Heath House. Individual care plans are drawn up with the active involvement of the children, detailing their assessed needs and how they are to be met. Individual progress is recorded weekly. Each child has access to his or her personal file.

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What the school does well:

The children spoken with during the inspection all said they really liked boarding at the school, praising the community spirit, the close company of friends and the variety of stimulating social, recreational and educational experiences available. They also praised the food provided, although some of the older pupils found the “set” teatime meal too early and said they would prefer it to be later as they become hungry again before bedtime. However the home does provide snacks and light refreshments within the kitchenettes on each floor. They expressed confidence in the integrity and caring approach of staff (and there was obvious positive interaction between staff and children). They felt that staff listened to them. An ‘independent listener’ is also available once a week. This open approach is reinforced the weekly children’s meetings, the complaints procedure, the suggestion boxes and the anti-bullying

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What the school does well:

initiatives, for example the measures taken to prevent ‘cyber-bullying’ by restricting the use of camera mobile telephones.

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What the school does well:

The school has a constructive approach to behaviour management based on rewarding positive behaviour and consistent application of the rules of Heath House by staff, which are discussed and agreed with the children annually. Senior staff monitor the records of any sanctions imposed in accordance with the agreed rules. All the children interviewed said they felt the rules were fair.

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What the school does well:

The children have good access to educational and leisure resources including the library, computers and the internet (subject to security and safety measures to protect them). Teaching staff support for homework is provided.

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What the school does well:

Staff clearly have good knowledge of the particular circumstances and needs of each child. These are documented in care plans agreed and drawn up after completion of a half term induction period. The children are involved in the review and updating process for their care plans. Every child is encouraged to develop greater independence.

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What the school does well:

Heath House is well appointed and decorated appropriately, with a rolling programme of redecoration and maintenance ensuring a comfortable and safe environment for the children. The premises have adaptations for the Deaf such as visible fire alarms. There are designated study areas and a good variety of communal spaces. There is a large plasma television that facilitates reading subtitles. The home continues with its re-decoration programme and several areas have been decorated, including, 2 corridors and some bedrooms, a new pool table and new carpet have been provided in the pool room, new furniture Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 8 in the foyer, new blinds and curtain tracks. All bedrooms have received new furniture and CCTV cameras have been fitted to the rear of the building. The children confirmed that they had been proactive in choosing the colour schemes for the home. Staff are vigilant regarding the security of the

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What the school does well:

premises, in accordance with the recently reviewed relevant procedures and risk assessment.

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What the school does well:

Staffing levels by day and night are sufficient to provide the care and attention the children need. This has been bolstered since the last inspection by the recruitment of some new support staff and the home is now fully staffed. The school has rigorous recruitment, induction and training polices and procedures that ensure all members of staff are suitable and competent to work with the children. All staff including volunteers are subject to CRB checks, undertake NVQ3 qualifications in Caring for Children and Young People and receive regular formal supervision. Other relevant training includes child protection, risk assessment, challenging behaviour etc in line with individual staff training profiles that identify particular needs. Staff confirmed that they felt well supported and rated teamwork and communications at Heath House are good. These strengths are maintained by means of daily handover meetings and

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What has improved since the last inspection?

The statement of purpose was reviewed and updated in October 2005 and is due to be reviewed and updated by the full governing body on the 11 th December. The school has set up its own website to facilitate the sharing of information with parents.

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What has improved since the last inspection?

The school continues to make great efforts to incorporate the five outcomes of Every Child Matters into practice and has produced documentary evidence of the initiatives taken to achieve this and improve the dialogue between staff and children. The head continues to receive positive feedback from pupils who sat they feel “safer in the school as a result of this”. The positive behaviour reward system for primary-age children was reviewed and updated in May 2006.

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What has improved since the last inspection?

The Head of Care has attended designated teacher child protection training and has completed his NVQ level 4 training. All residential support workers have received NSPCC child protection training. Other training has been provided including refresher training in positive behaviour management and homework support.

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What has improved since the last inspection?

The bullying risk assessment has been reviewed (May 06) staff anti-bullying training has been renewed and measures continue to be taken to prevent ‘cyber bullying’ by restricting the use of camera mobile telephones on the premises. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 9 Notifications of untoward events (required to meet standard 7) are clearly summarised. The ‘missing child’ procedure was been expanded and continues to provide a comprehensive and detailed procedure to follow.

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What has improved since the last inspection?

The premises Security Risk Assessment has been reviewed. A new CCTV camera has been erected to the rear of the building. The home benefited from some major works to improve the heating system within Heath House last year and this continues to work well and benefit pupils, staff and visitors. A new pool table has been purchased and the room re-decorated and re-carpeted. There are also plans for one of the walls in this room to have a “graffiti” art mural, to commence in December 2006.

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What has improved since the last inspection?

Staffing at Heath House has been improved with the recruitment of a Deputy Head of Care in 2005. The Head of Care reported that the home was fully staffed at the time of this inspection, although where necessary, the school has created its own bank of relief staff, to improve staff cover for absence through sickness and annual leave.

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What has improved since the last inspection?

The School Governors make monitoring visits unannounced and their visits are carried out at least once every half term. The Governors submit written report to the board.

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What they could do better:

In terms of service delivery to the boarders, there is little that the school needs to do and the service provided continues to be commendable. The pupils and staff spoken to during both the inspection and data received from the staff/pupil/parent questionnaires all support the findings of this inspection and consider Heath House and Heathlands school to provided an excellent resource for people who are deaf. The inspection of Heathlands/Heath House is always a pleasure and rewarding experience. The staff and pupils should be very proud of the provision that together, they have created and hope this continues to flourish and develop in the years to come.

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What they could do better:

As part of the Head teachers self-assessment there are several areas, which M/s Davis would like to further, develop, which include a video/DVD version of the Statement of Purpose to be considered in order to improve the access to information to BSL users. Support children in developing their understanding of the complaints procedure and how to use it appropriately. The need for further training in “positive” behaviour management in order to develop a consistent approach. Further supporting pupils in sustaining their commitment to “individual” activities in the community and support for personalised learning. Encourage parents to contribute/respond to the newsletter. An extended office for the Head of Care and RSW’S to make it more child friendly, improve the working environment for staff and enhance safety and supervision and finally for more personnel to be able to drive the minibus. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 10

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What they could do better:

Please contact the Head for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 11

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CONTENTS

Recommended Actions identified during the inspection Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 12

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The intended outcomes for these standards are:

• Children live in a healthy environment and the health and intimate care needs of each child are identified and promoted.(NMS 14) • Children are provided with healthy, nutritious meals that meet their dietary needs.(NMS 15)

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JUDGEMENT – we looked at outcomes for the following standard(s):

Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The school actively promotes the health care of each child and individual needs are documented in care plans. This promotes the physical and emotional well being of the children.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The children are provided with nutritious and well balanced meals that conform to individual dietary requirements and help the children to enjoy mealtimes. Some children would like more healthy eating options.

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EVIDENCE:

The home has detailed policies regarding the intimate care of children and these are covered during the induction of all RSW staff. Currently, care staff are rarely called upon to meet any intimate needs. Staff monitor the children’s emotional and physical needs and act in accordance with the documented care plan (the care plan format includes a health section). There are specific plans and protocols for emergency procedures. The school has a health education programme that residential staff promote as appropriate. Staff receive first aid training and will assist with or oversee the use of prescribed medication (there is a drugs cupboard on-site and children also have lockable facilities). All medication received into Heath House is recorded. Issues of personal hygiene are dealt with sensitively. Parents normally deal with routine medical, optical and dental appointments, although a number of children are registered with a

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EVIDENCE:

local GP on a ‘visitor’ basis. Staff will accompany a child to an appointment if appropriate. Children have an annual medical examination as part of their statement of educational needs.

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EVIDENCE:

The inspector joined the boarders for lunch and was able to confirm at first hand that the meal provided was both nutritious and flavoursome. The school has reviewed the menus in consultation with the pupils. During a visit from the Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 13 Governors in March 2006 the report stated “All the children we asked said they were much happier and were enjoying their food, they only have an occasional day when they are not happy.” All main meals are taken in the dining room with varying age groups seated at specific tables. The atmosphere during the meal was lively and fun with much interaction between the boarders and staff. Any cultural or dietary requirements are catered for such as vegetarian meals. Dining rooms and their furnishings are suitable for the needs of pupil using them. There is a domestic scale kitchen in Heath House and most of the

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EVIDENCE:

secondary aged boarders make their own breakfasts. Primary-age pupils were currently helping with the preparation of evening meals. Some of the older pupils commented that the “set” mealtime in the evening is too early and that they would like to eat a little later as they become hungry again before bedtime. However there are snacks available within the kitchenettes on each floor of the home. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 14

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The intended outcomes for these standards are:

• Children’s privacy is respected and information about them is confidentially handled.(NMS 3) • Children’s complaints are addressed without delay and children are kept informed of progress in their consideration.(NMS 4) • The welfare of children is promoted, children are protected from abuse, and an appropriate response is made to any allegation or suspicion of abuse.(NMS 5) • Children are protected from bullying by others.(NMS 6) • All significant events relating to the protection of children in the school are notified by the Head of the school or designated person to the appropriate authorities.(NMS 7) • Children who are absent without authority are protected in accordance with written guidance and responded to positively on return.(NMS 8) • Children are assisted to develop appropriate behaviour through the encouragement of acceptable behaviour and constructive staff responses to inappropriate behaviour.(NMS 10)

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The intended outcomes for these standards are:

• Children live in schools that provide physical safety and security.(NMS 26) • There is careful selection and vetting of all staff, volunteers, and monitoring of visitors to the school to prevent children being exposed to potential abusers.(NMS 27)

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JUDGEMENT – we looked at outcomes for the following standard(s):

Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The school has appropriate policies and procedures to ensure that children are safeguarded from abuse and other risks of harm. The children spoken to said that they are able to discuss any concerns, and that they feel safe in the school.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The school has suitable procedures to follow when a child goes absent without authority.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Staff follow agreed procedures to encourage and reward good behaviour and respond constructively and proportionately to inappropriate behaviour. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 15 The school provides a high standard of physical safety and security.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The school operates rigorous recruitment procedures. Staff are vetted prior to commencing work and all appropriate information is held on file to demonstrate their fitness to work at the school.

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EVIDENCE:

The school has policies available for guidance on the subjects of privacy, confidentiality and gender-related issues. Two boarders are on full care orders and appropriate information is available to staff. The main staff personal files are held within the main school however any relevant information relating to staff supervisions are maintained within Heath House and kept locked in a steel cabinet. Most children have their own mobile telephones and there is a text phone available (although the office telephone could be made available should total privacy be needed). Children also can use the facsimile, e-mail and videophone facilities as required. Parents and other appropriate visitors can meet privately with individuals. Pupils spoken to during the inspection stated that they felt the level of privacy was appropriate.

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EVIDENCE:

The formal complaints procedure (that encourages parents and others to address complaints to the Head Teacher or any member of the governing body) is outlined in the school’s Prospectus, and the Statement of Purpose. The procedure is also covered during the staff induction programme. Two children were re-elected to the student Council in September 2006. Relationships with the parents and Heath House are reportedly positive and any queries or concerns are generally resolved informally. All incidents are recorded in the children’s log and the school has suggestion boxes that provide a method of raising issues. An ‘independent listener’ visits weekly and evidently knows the pupils well. All children are encouraged to attend the weekly boarders’ meetings.

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EVIDENCE:

The Deputy Head is the school’s designated senior person for Child Protection and the Head of Care is the designated trainer in child protection matters. The topic is covered in induction and all staff have received recent NSPCC training in child protection. In addition, the Local Education Authority has drawn up child protection procedures containing local interagency protocols on the prevention of abuse. There is written guidance for staff on avoiding allegations against them.

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EVIDENCE:

The school has an excellent anti-bullying policy and procedures. Pupils are encouraged to come forward with any bullying issues at an early stage so they can be resolved before the problem grows. Where necessary, risk assessments are carried out regarding children who are identified as either at risk of being bullied or being the perpetrator. (Bullying risk assessment was last reviewed in Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 16 June 2006). Guidelines in the behaviour management of these pupils are also drawn up. The bullying risk assessment is updated annually. The Head Teacher has banned the on-site use of camera mobile telephones in bedrooms. Children spoken with said that the Head had explained the reason for the ban and they understood that it was in their best interests.

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EVIDENCE:

In accordance with the school’s policies, the designated person ensures that all significant events relating to the protection of children in the home are notified to the prescribed authorities. Appropriate records are kept. The school would promptly notify parents of any allegation that a child had committed an offence. Staff would also pass on to the appropriate authorities any serious concerns about the emotional or mental health of a child. The school has access to a special outpatient resource.

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EVIDENCE:

The school has written procedures identifying action to be taken when a child is absent without authority. Should a child ever state that he or she went missing because of abuse at the school, appropriate Child Protection procedures will be followed. These procedures are frequently rehearsed, as the circumstances have not arisen to date. Where children have parental permission to be absent from Heath House, the level and circumstances are agreed in advance. Care staff are aware of the measures that they may legitimately take to prevent a child from leaving without permission. There is a policy on physical restraint but such measures would normally be part of a package of care, agreed in advance and recorded in the care plan. All residential care staff have receive training in ‘Non-Abusive Physical or Psychological Intervention’ (NAPPI) in September 2005. Staff discussions and risk assessment procedures were reviewed and confirmed in July 2006.

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EVIDENCE:

Boarders are aware of an agreed list of age-appropriate disciplinary measures. There is also a written policy on this and associated topics available to staff and discussed at team meetings. Senior staff approve any sanctions used in Heath House. Staff focus on positive reinforcement, rewarding good behaviour. Physical intervention is rarely used although there is a separate record book. The home also maintains an incident book that is signed by the children. Good recording was noted. The Deputy Head reviews any sanctions and physical interventions used. Children are given opportunities to discuss incidents and staff hold a de-brief session each morning at which these would be discussed, as well as at the weekly staff meetings. The Head of Care confirmed that sanctions would not be applied to groups of children in response to the misdemeanours of an individual child.

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EVIDENCE:

The school conforms to fire safety legislation and staff are alert to health and safety matters. There are visible fire alarms. Regular fire drills are conducted, gas installations are checked annually and electrical equipment and installations are checked every three years. Risk assessments are completed as risks are identified. Hot water delivery is regulated within safe temperature limits by means of thermostatic mixer valves on each hot tap. Radiators have Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 17 thermostatic controls. Risk assessments are in place for activities such as use of the school grounds, walking to school, off-site activities and minibus journeys. Other risk assessments relate to in-house activities. No hazards were noted during the inspection.

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EVIDENCE:

All staff are recruited in line with the school’s rigorous recruitment procedures and are properly vetted prior to employment to verify their suitability to work with the children. At least three written references are taken up and Criminal Records Bureau disclosures. Agency staff, volunteers and students on placements are all CRB checked. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 18

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The intended outcomes for these standards are:

• The school’s residential provision actively supports children’s educational progress at the school.(NMS 12) • Children have ample opportunity to engage in purposeful and enjoyable activities both within the school and in the local community.(NMS 13) • Children receive individual support when they need it.(NMS 22)

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JUDGEMENT – we looked at outcomes for the following standard(s):

Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The school’s residential provision, including in-house facilities and homework support, actively supports children’s educational progress.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Children are able to participate in a wide range of social, educational and recreational activities that enhance the boarding experience at Heath House.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The care planning and communication systems in place ensure that children receive individualised support and appropriate guidance that promotes their well-being and maximises inclusion in the life of the school.

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EVIDENCE:

The residential provision continues to be an integral part of the whole school experience. The residential experience provides social interaction and confidence building for children who have some difficulties in normal social interactions due to their hearing impairment. There are 24 children from Monday afternoon to Friday mornings. There is a central study area in Heath House for the younger children and older children have study bedrooms, with an identified space for doing homework. Staff are always on hand to provide guidance and encouragement, including the provision of teaching staff for homework support. Adequate resources are provided, including access to the main school library, computers designated for study use and controlled access to the internet. All staff work towards encouraging each child’s personal, social and educational development and achievement, including independent living skills.

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EVIDENCE:

Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 19 Boarders have opportunities to engage a wide range of activities and certain activities in the community (such as bowling and Quassar) are particularly popular. Participation is encouraged, according to individual choice as well as collective choices made at boarders’ meetings. For example, a keep-fit room was set up after consultation with the children. Hobbies are encouraged and supported. Secondary-age children attend after school clubs; other activities include weekly art sessions, cookery sessions, swimming and ice-skating. Children are also encouraged to join local deaf clubs. There are regular shopping outings for those who need escorting. Risk assessments in respect of activities are made as necessary. Staff monitor video/DVD choices for age appropriateness and there is also a compact disc player. The home purchased a “plasma” television in 2003, which is based in one of the main lounges and

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EVIDENCE:

has proved to be a very popular because of the ease of reading subtitles it provides. The activity/pool room has been decorated since the last inspection took place and also a new pool table has been purchased. There are also plans to produce some “Graffiti” art on one of the walls in this room. Cultural awareness is raised as appropriate and cultural evenings are occasionally organised.

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EVIDENCE:

Each boarder has a plan of care (and each pupil has an individual education plan). Staff follow the care plans to provide individualised support. All residential staff are available to boarders, to support them with any personal or welfare concerns and they also take care to ensure that no boarder is left isolated within the school. Everyone is encouraged to participate in social groups and isolation is minimised by the school’s policy of only admitting pupils with broadly similar needs. A prominently displayed poster reminds children that anything can be discussed and boarders also have access to the independent visitor. Each child also has an adult family member available to support them. In effect, none of the boarders has English as a first language although this is not a disadvantage in this setting. The professional services of audiologists, speech and language therapists etc. are available to pupils as

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EVIDENCE:

needed. All staff are expected to develop fluency in signing using British Sign Language, symbols etc. The children spoken to during the inspection said they felt very well supported by staff and could raise issues with them confidently. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 20

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The intended outcomes for these standards are:

• Children are encouraged and supported to make decisions about their lives and to influence the way the school is run. No child should be assumed to be unable to communicate their views.(NMS 2) • Children have sound relationships with staff based on honesty and mutual respect.(NMS 9) • Children experience planned and sensitively handled admission and leaving processes.(NMS 11) • Children have their needs assessed and written plans outline how these needs will be met while at school.(NMS 17) • In accordance with their wishes children are able and encouraged to maintain contact with their parents and families while living away from home at school.(NMS 20)

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JUDGEMENT – we looked at outcomes for the following standard(s):

Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Children are consulted about the running of Heath House, are encouraged to express their views and make suggestions for improvement and feedback is given in respect of the consultation processes.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Relationships between staff and children are positive, based on mutual respect and understanding of individual needs and preferences.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The processes of admission and leaving are sensitively planned and handled.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Children’s needs are assessed and care plans detailing how they are to be met are devised.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Children are encouraged to maintain contact with their families while they are in residence at Heath House.

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EVIDENCE:

The school has developed excellent systems to encourage pupil involvement. The opinions of children are sought in a variety of ways. For example, Heath Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 21 House operates a key worker system and children are encouraged to attend at least part of their review. There is a range of pictorial aids to assist with communicating any requests, suggestions and concerns about the operation of the school. There is a contact book system between home and school. As far as possible boarders are included in decision-making and the rules of Heath House are agreed with the children annually and published. Boarders follow various faiths and although staff are sensitive to their needs, religious beliefs appear to be kept private and followed at home. Consultation uses the child’s preferred means of communication, documented in care plans. Another communication tool is the “red box” system whereby pupils are encouraged to

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EVIDENCE:

post comments about the school, suggestions for improvement or requests for specific equipment. These boxes are emptied each month and reviewed every half term. The written responses of senior staff are displayed on the board next to the red boxes. There is also a comments/concerns book available. The children spoken with felt they were substantially involved in the running of the school.

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EVIDENCE:

The staff should be congratulated on their relationships with the children, which seemed very positive and based on mutual respect and trust. At all times staff used appropriate communication methods when addressing the children, explaining what they were doing and why. There are detailed guidelines in place that need to be followed as part of the behavioural support plans for each child. Staff use various systems based on rights and responsibilities to reward positive behaviour. The importance of positive reinforcement rather than the use of sanctions is stressed at staff meetings. The children recognised that staff needed to set consistent boundaries that were in their interests. The key worker system provides extra individual support for each child. As far as possible, taking into account residential staff numbers, children are able to choose who provides them with personal care.

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EVIDENCE:

All admissions are planned. The Head of Care usually arranges an overnight stay before full weekly boarding is offered. Targets are identified in care plans to prepare children for leaving Heath House. Any ‘looked-after’ children will have a planned leaving care process when the time comes (but they are placed at Heath House due to their educational needs rather than other matters). Most of the children who board do so because of the distance that they have to travel from home (although some only stay over on activity nights). Heath House staff obtain as much information about a child as necessary to ensure a satisfactory stay. No emergency admissions are accepted of children who have had no previous involvement with the unit. Children who seek admission to Heathlands School have a requirement for sign language incorporated in their Statement of Special Educational Needs.

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EVIDENCE:

Each boarder has an individual care plan (ICP) agreed and set up between the child and the key worker after completing a half term. The plan details the child’s assessed needs and how they are to be met. The child is also involved in the review and monitoring process. Weekly logs are written on each child, Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 22 used to contribute progress information for the annual review. The children’s statements of educational needs are reviewed annually, or more frequently if appropriate. ‘Looked after’ children have regular Status reviews. Residential care staff contribute to all relevant meetings and case conferences. Care plans were not formally examined at this inspection but the system remains unchanged and therefore retains its commendable rating under the standard.

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EVIDENCE:

Children are encouraged to maintain contact with their families during the week. The children board for four nights. Contact is maintained by using E- mail, text messages and the video link telephone, Minicom and facsimile facilities. Children interviewed said using e-mail to keep in touch was invaluable. There are rooms available for children to meet with their families in private if they wish to visit during the week. Restrictions are imposed where necessary for any ’looked after’ children. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 23

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The intended outcomes for these standards are:

• Children can wear their own clothing outside school time, can secure personal requisites and stationery while at school, and are helped to look after their own money.(NMS 16) • Children about to leave care are prepared for the transition into independent living.(NMS 21) • Children live in well designed and pleasant premises, providing sufficient space and facilities to meet their needs.(NMS 23) • Children live in accommodation which is appropriately decorated, furnished and maintained to a high standard, providing adequate facilities for their use.(NMS 24) • Children are able to carry out their personal care in privacy and with dignity.(NMS 25)

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JUDGEMENT – we looked at outcomes for the following standard(s):

Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Children may wear their own clothes outside school time and can use local shops with support as necessary.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Children are prepared for leaving the school and towards independent living.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The premises are well designed and suitable for the needs of the children, with special equipment provided as necessary to maintain their safety and security.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The accommodation is maintained, furnished and decorated to a good standard, with adequate facilities for the children to provide a safe and a safe and comfortable environment.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Adequate bathing, and toilet facilities are provided that allow the children reasonable privacy and dignity in respect of their personal care.

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EVIDENCE:

Boarders are encouraged to change into their own clothing as soon as school is over for the day. Some children may visit local shops in the early evening and Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 24 others go out on organised shopping trips. As weekly boarders, young women usually bring their own supply of sanitary protection from home but can obtain emergency supplies from the female first aid worker. Usually, children manage their own money on a weekly basis (a maximum of £7 for senior pupils) is recommended, although support is available to the younger children (when this happens, they have an individual pocket money book and there is a record of transactions kept on their individual files).

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EVIDENCE:

The Head Teacher stated that individual targets are identified and noted on care plans to prepare children for leaving Heath House. The school was originally designed and built for primary-age children but now Heath House also accommodates secondary-age children. As well as some remodelling of the premises maximum boarding numbers have been reduced in order to comply with the National Minimum Standards. The unit could provide accommodation for 30 boarders in a combination of single and double bedrooms. Staff appreciate the need for gender separation and make suitable arrangements for children who want or need single bedrooms. However, it is acknowledged that for most children in this school, partitions in bedrooms hinder communication. Specialist equipment available to boarders includes Mincom, vibrating fire alarms and vibrating alarm clocks. There is also a listening device used to alert waking night staff to potential problems (this is

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EVIDENCE:

noted in the prospectus and all boarders know about its use). Outside school hours all external doors are locked to prevent unauthorised entry.

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EVIDENCE:

Heath House is generally maintained to good decorative standards and several areas have been decorated and re-furbished since the last inspection was carried out. The central heating system, which was repaired in 2005, is working well. Each bedroom is appropriately appointed and each boarder has a surface on which they can study. Boarders share through choice and according to age. Bedrooms are equipped with flashing fire alarms and vibrating pillows. There are communal areas, a games/study/art & crafts area, a domestic sized kitchen and a utility room. All boarders have a lockable facility. Boarders may bring in their own bedding if they wish, although the linen provided in-house is not institutional in appearance. There are staff sleep-in rooms at each end of the unit. There is auditory monitoring available at night. Apart from the residential care team no other school staff have access to bedroom corridors.

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EVIDENCE:

Based on existing occupancy, Heath House offers a ratio of 1:4 toilets, three baths and two showers (the younger children have two of the baths available to them and staff and visitors to the unit have a separate provision). Bathroom, toilet and shower doors are fitted with locks that can be overridden by staff in the event of an emergency. There are en-suite sinks in all the bedrooms except those used for single occupancy. Hot water is thermostatically controlled at the boiler to ensure safe temperatures. Heath House does not currently accommodate physically disabled children, but adaptations would be introduced as required. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 25

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The intended outcomes for these standards are:

• Children, parents, staff and placing authorities have access to a clear statement of the school’s care principles and practice for boarding pupils.(NMS 1) • Children’s needs, development and progress is recorded to reflect their individuality and their group interactions.(NMS 18) • There are adequate records of both the staff and child groups of the school.(NMS 19) • Children are looked after by staff who understand their needs and are able to meet them consistently.(NMS 28) • Children are looked after by staff who are trained to meet their needs.(NMS 29) • Children are looked after by staff who are themselves supported and guided in safeguarding and promoting the children’s welfare.(NMS 30) • Children receive the care and services they need from competent staff.(NMS 31) • Children and staff enjoy the stability of efficiently run schools.(NMS 32) • The governing body, trustees, local authority, proprietor or other

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The intended outcomes for these standards are:

responsible body monitors the welfare of the children in the school.(NMS 33)

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JUDGEMENT – we looked at outcomes for the following standard(s):

Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Adequate information is available to children, parents, staff and placing authorities about the school’s philosophy of care and the service to be provided.

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JUDGEMENT – we looked at outcomes for the following standard(s):

Children’s needs and progress are recorded.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The children are looked after by adequate numbers of well-trained and competent staff who are deployed effectively to ensure that children receive proper individual attention and their needs can be met in a timely and safe way. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 26 All staff are well supported and guided in safeguarding and promoting the children’s welfare to achieve the aims of the school as defined in the statement of purpose.

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JUDGEMENT – we looked at outcomes for the following standard(s):

The school is run efficiently in the interests of the pupils and the school governor’s carry out regular and effective monitoring to ensure standards remain high and the school continues to develop in line with modern care practice.

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EVIDENCE:

The School’s Statement of Purpose describes the proposed operation, ethos and philosophy of the school and its residential unit Heath House. It is written in plain English and outlines the approach to education and boarding. The school governors review and update the document annually. It refers to positive working links between the school and Heath House that create a continuum of care for weekly and occasional boarders. Read in conjunction with the school Prospectus, the Statement of Purpose provides a full picture of the range of services on offer. In line with the school’s accessibility plan a child-friendly version is also available that reflects the wide range of ages accommodated.

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EVIDENCE:

It has previously been established that appropriate records are compiled in respect of each child and are held securely. Each child has access to his or her own file. The Head Teacher is fully aware that these records must be kept for a period of 21 years, or passed on to the next school. Similarly, the required records are kept in respect of staff. Some records are kept in the main school building, such as personnel records and the accidents book. Records relating to menus, risk assessments and child healthcare needs are kept in Heath House. Each child has their own independence checklist record, as skills are attained so they are recorded as being met. This checklist is clearly presented and provides a quick reference point to a child’s attainment. The Head Teacher is aware of the legally prescribed timescales for the retention of personnel and children’s records.

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EVIDENCE:

After a 10.00 am finish on a Friday, Heath House is staffed from 12 noon to 10.00 am the following Monday and from 6.45 to 10.00 am followed by 3.15 to 10.00 pm Tuesday to Thursday. There is always a staff gender balance. Night cover is by two members of staff sleeping-in and a female night supervisor awake. The school’s health and safety policy prescribes that appropriate arrangements be made for escorting children off-site. Rotas were available to demonstrate that Heath House was adequately staffed. No agency workers are used. Cover for potential staffing shortfalls caused by annual leave and sickness has been made easier by the in-house creation of a bank of relief staff, following a successful advertising campaign by the school. This very positive development is most commendable, as the school had waited in vain Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 27 for a response to this longstanding problem from HCC Children, Schools and

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EVIDENCE:

Families Department. Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 28

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SCORING OF OUTCOMES

This page summarises the assessment of the extent to which the National Minimum Standards for Residential Special Schools have been met and uses the following scale.

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SCORING OF OUTCOMES

4 Standard Exceeded (Commendable) 3 Standard Met (No Shortfalls) 2 Standard Almost Met (Minor Shortfalls) 1 Standard Not Met (Major Shortfalls)

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SCORING OF OUTCOMES

“X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable

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SCORING OF OUTCOMES

BEING HEALTHY MAKING A POSITIVE Standard No Score CONTRIBUTION 14 3 Standard No Score 15 3 2 4 9 4 STAYING SAFE 11 3 Standard No Score 17 4 3 4 20 3 4 4 5 3 ACHIEVING ECONOMIC 6 4 WELLBEING 7 3 Standard No Score 8 3 16 3 10 4 21 3 26 3 23 3 27 3 24 4 25 3 ENJOYING AND ACHIEVING Standard No Score MANAGEMENT 12 4 Standard No Score 13 3 1 4 22 4 18 3 19 3 28 3 29 3 30 3 31 4 32 3 33 4 Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 29 Are there any outstanding recommendations from the last inspection? NO

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RECOMMENDED ACTIONS

This section sets out the actions that must be taken so that the proprietor meets the Children Act 1989, Inspection of Schools and Colleges Regulations 2002 and the National Minimum Standards.

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RECOMMENDED ACTIONS

No. Standard Recommendation Timescale for action (Serious welfare concerns only) Heathlands School DS0000056396.V313723.R01.S.doc Version 5.2 Page 30

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Commission for Social Care Inspection

Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ

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Commission for Social Care Inspection

National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI.

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